MARLON BONNER (NPI# 1225442734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225442734 |
| Entity Type | Individual |
| Full Name | MARLON BONNER |
| Practice Address |
810 Kirkly Way Fairburn GA 30213-2482 |
| Practice Telephone | 7063329395 |
| Mailing Telephone | 7063329395 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
810 KIRKLY WAY |
| City | FAIRBURN |
| State | GA |
| Zip Code | 30213-2482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457984262 | Stephanie Westbrook | Counselor | 5847 Landers Loop, Fairburn, GA 30213 | 2020-02-20 |
| 1255990529 | Compass Home Dialysis LLC | Clinic/Center | 178 West Cambellton St, Fairburn, GA 30213 | 2019-06-11 |
| 1780152694 | Selah | In Home Supportive Care | 5228 Rosewood Place, Fairburn, GA 30213 | 2018-11-08 |
| 1134642846 | Shaquina Jimmerson | Counselor | 1401 Peachtree St Ne, Suite 500, Atlanta, GA 30213 | 2017-07-25 |
| 1013447143 | Destoni Fleming | Durable Medical Equipment & Medical Supplies | 3885 Grassy Trace, Fairburn, GA 30213 | 2017-06-12 |
| 1003290891 | Tanya Sykes-clark | Speech-Language Pathologist | 6179 Chastain Way, Fairburn, GA 30213 | 2015-07-13 |
| 1467858613 | Dayo Ahisha Williams | Licensed Practical Nurse | 8064 South Fulton Parkway #1102, Fairburn, GA 30213 | 2014-11-17 |
| 1144658543 | Vanetta Donna Della Williams | Social Worker | 7923 Heathmore Drive, Fairburn, GA 30213 | 2013-10-22 |
| 1831522671 | Monique Harris | Social Worker | 7922 Applemist Dr, Fairburn, GA 30213 | 2013-08-15 |
| 1255668406 | Linda Walton | Occupational Therapy Assistant | 7040 Smoke Ridge Dr, Fairburn, GA 30213 | 2009-11-09 |
| Find all providers in zip 30213 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784119 | Caroline N/a Guan | Anesthesiologist Assistant | 1377 Dresden Dr Ne Apt 5117, Brookhaven, GA 30319-3457 | 2020-09-11 |
| 1841815925 | Ghazal Motakef | Anesthesiologist Assistant | 365 Victorian Ln, Johns Creek, GA 30097-5769 | 2020-06-14 |
| 1801446455 | Mednax | Anesthesiologist Assistant | 770 Pine St Ste L40, Macon, GA 31201-7521 | 2019-09-16 |
| 1114570553 | Diana Ansley Berry | Anesthesiologist Assistant | 531 Roselane St Nw Ste 830, Marietta, GA 30060-6979 | 2019-07-23 |
| 1346703758 | Alexander Lee | Anesthesiologist Assistant | 1228 Christiana Xing, Lawrenceville, GA 30043-7007 | 2019-04-11 |
| 1710449897 | Salman Noorali Dewani | Anesthesiologist Assistant | 6371 Crestgate Ln, Tucker, GA 30084-8458 | 2019-04-05 |
| 1316432537 | Heather Mcintyre | Anesthesiologist Assistant | 57 Executive Park S Ste 300, Atlanta, GA 30329-2287 | 2018-06-29 |
| 1699292235 | Robin Spierer | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se # 6d028, Atlanta, GA 30303-3031 | 2017-08-24 |
| 1821512401 | Stephen Chaussinand | Anesthesiologist Assistant | 5673 Peachtree Dunwoody Rd Ste 490, Atlanta, GA 30342-1775 | 2017-07-26 |
| 1790206381 | Andres Felipe Hernandez | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se Ste 6d028, Atlanta, GA 30303-3031 | 2017-07-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.